AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 1; Ask the Editor

Diabetes Mellitus and Osteomyelitis

A woman, who has had type 1 diabetes for over 40 years, developed chronic osteomyelitis of the right heel and presents to the infectious disease clinic for follow-up. The provider also noted, “Chronic renal impairment (creatinine 290) due to diabetes.” While at the clinic the patient became hypoglycemic and was treated. Does ICD-10-CM assume a relationship between diabetes and osteomyelitis when both conditions are present? How should this case be coded? ...

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